Provider Demographics
NPI:1629280920
Name:LOVE, ERIKA ELLEN MEISTER (DC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:ELLEN MEISTER
Last Name:LOVE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:ELLEN
Other - Last Name:MEISTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 1417
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33846-1417
Mailing Address - Country:US
Mailing Address - Phone:863-709-1600
Mailing Address - Fax:863-709-1616
Practice Address - Street 1:5227 US HWY 98 S.
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33812
Practice Address - Country:US
Practice Address - Phone:863-709-1600
Practice Address - Fax:863-709-1616
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9368111N00000X
IL038010929111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor